History: History (can include gestational age, or age in days, weeks, months):
Patient with known psoriasis, now taking Enbrel. Patient presents with pain and stiffness in both hands, made worse by inactivity and relieved somewhat by movement.

Ddx: Differential Diagnosis for these findings in this case:
Psoriatic arthritis, erosive osteoarthritis

Exam: Physical Exam and Laboratory:
Patient is tender to palpation over the DIP and PIP joints in both hands. No significant effusions noted over the joint spaces. Laboratory results reported normal ESR levels

History: History (can include gestational age, or age in days, weeks, months):
Patient with known psoriasis, now taking Enbrel. Patient presents with pain and stiffness in both hands, made worse by inactivity and relieved somewhat by movement.

Ddx: Differential Diagnosis for these findings in this case:
Psoriatic arthritis, erosive osteoarthritis

Exam: Physical Exam and Laboratory:
Patient is tender to palpation over the DIP and PIP joints in both hands. No significant effusions noted over the joint spaces. Laboratory results reported normal ESR levels